| NPI | 1619062445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANK HOWELL Administrator 417-326-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MO PY01322) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO RIJ41) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |